SHAWANDA HOLLOWAY LMHC
NPI 1285074203
Counselor - Mental Health in Jacksonville, FL

Active since July 05, 2013PECOS EnrolledAccepts Medicare Assignment
820 PRUDENTIAL DR STE 512, JACKSONVILLE, FL 32207(904) 376-3800 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 12, 2025, Nov 21, 2025, Nov 15, 2023 and 1 more (4 updates tracked since 2023).

About Shawanda Holloway Lmhc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHAWANDA HOLLOWAY LMHC (NPI 1285074203) is an individual mental health provider in Jacksonville, Florida, licensed in Florida (MH20882) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Jacksonville, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1285074203
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSHAWANDA HOLLOWAYCredential: LMHC
Location Address820 PRUDENTIAL DR STE 512Jacksonville, FL 32207-8207
Mailing Address7101 Wilson Blvd Apt 1204Jacksonville, FL 32210-3687 · (904) 765-0665
Sole ProprietorNo
Medical School CMSOtherGraduated 2010
Enumeration DateJuly 5, 2013
Last NPPES UpdateDecember 12, 20254 updates tracked since enumeration
NPPES CertifiedDecember 12, 2025
NPI 1285074203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License Licensed in FL · MH20882
820 PRUDENTIAL DR STE 512, Jacksonville, FL 32207

Secondary Practice Location 1

Location 1555 Stockton StJacksonville, FL 32204-2534 · Phone (904) 387-4661

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Shawanda Holloway Lmhc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204289598
PECOS Enrollment IDI20240202002187
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
820 PRUDENTIAL DR STE 512
JACKSONVILLE, FL 32207
Counselor (Mental Health)
820 PRUDENTIAL DR STE 512
JACKSONVILLE, FL 32207
Social Worker (Clinical)
820 PRUDENTIAL DR STE 512
JACKSONVILLE, FL 32207
Counselor (Mental Health)
820 PRUDENTIAL DR STE 512
JACKSONVILLE, FL 32207
Social Worker (Clinical)
820 PRUDENTIAL DR STE 512
JACKSONVILLE, FL 32207
Counselor (Mental Health)
820 PRUDENTIAL DR STE 512
JACKSONVILLE, FL 32207
Social Worker (Clinical)
820 PRUDENTIAL DR STE 512
JACKSONVILLE, FL 32207
Counselor (Mental Health)
820 PRUDENTIAL DR STE 512
JACKSONVILLE, FL 32207

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shawanda Holloway's NPI number?

The NPI number for Shawanda Holloway is 1285074203. It was assigned to this individual provider in the NPPES registry on July 5, 2013.

Where is Shawanda Holloway located?

Shawanda Holloway practices at 820 Prudential Dr Ste 512, Jacksonville, FL 32207. The listed phone number is (904) 376-3800.

What is Shawanda Holloway's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Shawanda Holloway enrolled in Medicare?

Yes. Shawanda Holloway is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Shawanda Holloway accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Shawanda Holloway as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shawanda Holloway was last updated on December 12, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.